Refurbishment
of patients and staff, and there are a number of potential risks that need to be carefully considered by the project manager. Perhaps the most obvious among these is that vulnerable patients could suffer dangerous adverse effects as a result of disruptions to their care regime, and the likelihood of this increases in accordance with the level of disruption.
Varying disruption levels Of course, the kind of disruption caused by construction works varies widely, from minor disturbances to patients’ rest as a result of factors such as low-level noise or the presence of non-healthcare staff, to more significant interruptions involving requiring patients to move rooms, or staff to adjust the timings or location of regular treatment. Tackling these issues is a question of planning, but while it may be difficult to anticipate and plan for every issue that might be encountered during
the project, having a well-defined strategy in place at the outset will significantly reduce the number of unforeseen obstacles encountered.
Maintaining clinical conditions Construction is, at times, a noisy, dusty, and busy process, and one that is not a natural bedfellow for the conditions required in a healthcare setting. Measures must therefore be taken to ensure that the process is not allowed to compromise the quality of the care environment to any more than a minimal extent. To achieve this, the greater the level of physical separation that can be put in place between the work site and its access routes and the care environment, the better; the use of full-length, floor-to- ceiling, sound-attenuating and dust-sealed screens should be used for this purpose. This is the only way to be sure that controlled areas are maintained.
A further key consideration is ensuring
that infectious substances are not transported onto site. This is achieved by maintaining complete cleanliness at all times, something that requires discipline from the team, and can build in additional time to the project.When a work team enters the building, they must ensure that they have done everything they can to avoid the risk of bringing in foreign bodies. This means wearing newly washed work clothes, and boots that have been thoroughly cleaned.
Use of ‘sticky mats’ Sticky mats such as the popularly used ‘Tacky Mats’ should also be placed at all entry and exit points, to minimise the chances of infectious materials from outside being walked into the sterilised environment on the soles of boots. The sticky surface of these mats must be renewed frequently in order to maintain
Chesterfield Royal Hospital: improving women’s services
Serving North Derbyshire’s population and beyond, with a catchment population of around 375,000, Chesterfield Royal Hospital NHS Foundation Trust (CRH) provides a full range of acute services, plus 24-hour accident and emergency care, and specialist children’s services. A £1.2 million refurbishment project at
Chesterfield Royal Hospital to create a new specialist women’s healthcare facility was completed late in 2012 by Styles&Wood. The 21-week project involved the
complete strip-out and remodelling of the hospital’sWomen’s Health Unit and TrinityWard, to bring gynaecology services together in one modern, high quality facility. Styles&Wood’s specialist health service
team was appointed following a competitive tender. The team employed special infection control partitions, and technology designed to help prevent the spread of dust and debris, to enable work to be undertaken around live clinical services. The project included the identification
and removal of asbestos, and the installation of new M&E services, and saw the two wards transformed, with a
34 Health Estate Journal September 2013
modern, high quality finish, A new reception, and triage and treatment areas, plus individual five-bed wards and secondary service rooms, were created.
‘Attractive, secure, efficient’ Richard Hall, account principal, Styles&Wood, said: “We’ve created an attractive, secure, and efficient space with a very high quality finish which will significantly enhance the excellent patient care delivered by the team at Chesterfield. The health sector is a key strategic market for Styles&Wood. Delivering complex schemes around live clinical services presents specific challenges. The solid in-house expertise we’ve developed in this field is seeing health projects account for a growing share of the group’s revenues, climbing five per cent in the past 12 months alone.” Linda Gustard, head of Midwifery,
and senior matron for Gynaecology at Chesterfield Royal Hospital, said: “We’re absolutely delighted with the way the two wards look and, in particular, with how the layout will improve the privacy and dignity of theWHU patients by bringing all gynaecology outpatient clinics into one place. TheWHU has three clinic rooms,
where we’ll see patients who previously came to outpatient suite one.We also have a completely separate area and waiting room for the women coming to our early pregnancy assessment unit, along with other separate areas for outpatient procedures and day case surgery, and completely private areas for changing.
Positive feedback “Our gynaecology patients will notice a
big difference, as will anybody returning to TrinityWard.We’ve incorporated the same styles, furnishings, and relaxing artwork, that you will have seen in our birth centre. It will allow for a much smoother transition from the birth centre to the maternity ward, and additional features there include a milk preparation room and parents’ rest room. The feedback we’ve had from our patients has been overwhelmingly positive.” The project is the second that
Styles&Wood has successfully completed for Chesterfield Royal Hospital NHS Foundation Trust (CRH), after the company was appointed to design and deliver a new entrance to the same hospital following a fire in 2011.
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